How to Choose a Car Accident Chiropractor
Eight questions to ask before your first visit, and our answers to each.
The short answer
Choose a chiropractor who can see you soon, takes static and bend-forward and bend-back (flexion-extension) X-rays to check for the ligament injury an ER X-ray isn't designed to find, orders an MRI when you need one and reads the actual images, not just the radiologist's report, bills your auto insurance (PIP) directly, writes down what they find in measurable terms, and re-tests you to prove you're improving. Ask these questions on the first call; a good clinic answers all of them plainly.
The questions that matter most
1. How soon can you see me?
Pain after a crash often peaks one to three days later, and the first two weeks matter most. Our answer: same-day visits are often available for accident patients. Call 801-373-1035.
2. Will you take flexion-extension X-rays or motion X-ray?
This is the question most people don’t know to ask, and it matters most. A stretched or torn ligament is one of the crash injuries most often missed, because the extra movement it allows only shows when the spine bends. ER X-rays are taken with you holding still to rule out a fracture, so the injured level can look normal. Our answer: yes. We take static X-rays and X-rays with your neck or back bent forward and bent back, usually at the first visit, and we measure how far each vertebra slides and tips compared with the levels next to it, using the criteria in the AMA Guides, the standard insurers and courts use. We also offer motion X-ray (DMX), a video of your spine as it moves, done and read in our office.
3. Will you order an MRI if I need one, and read it yourselves?
X-rays and MRI go hand in hand. They show different things: X-rays show alignment and how each vertebra moves; an MRI shows the discs, nerves, ligaments and other soft tissue. Correlating the two is how the damaged tissue, and what is causing your pain, gets found. Reading MRI images isn’t part of standard chiropractic training, so most chiropractors work from the radiologist’s written report alone. Our answer: yes to both. When your exam or X-rays point to a disc, nerve or ligament injury, we order an MRI. Then our doctors, trained in MRI interpretation through their fellowship, read the actual images themselves, along with the radiologist’s report, and put them together with your static and flexion-extension X-rays and your exam. That is what gives an accurate diagnosis, and it lets us tell you whether a finding is likely from the crash or was there before. If you already have an MRI, we read that too.
Billing, records and progress
4. Do you bill my auto insurance directly?
In Utah your own policy’s PIP pays at least $3,000 of medical care, whoever caused the crash. You shouldn’t be paying at each visit. Our answer: we open the PIP claim with your insurer, verify your benefits before or at the first visit, bill them directly, and tell you before you reach your limit. More: PIP insurance in Utah.
5. How will my injury be documented?
If you have an insurance claim, vague notes don’t help you. Our answer: the X-ray measurements are written into your records in numbers, and every exam, image and visit goes into clear written records your insurer, and your attorney if you have one, can read.
6. How will I know I’m getting better?
Our answer: we re-test you about every 4 weeks with the same measurements we took at the start. If you are not measurably better, we change the plan or refer you to the right specialist.
7. Do I have to sign up for a package?
Our answer: no. We bill visit by visit, with no prepaid package, and you can stop any time.
8. What training do your doctors have in crash injuries?
Our answer: our doctors completed the Fellowship in Spinal Biomechanics and Trauma (FSBT), two years of postdoctoral training in spinal trauma, MRI interpretation and motion X-ray. Dr. Matt McClean is also completing advanced postdoctoral training in neuroradiology and musculoskeletal MRI interpretation.
Do I need a lawyer first?
No. You don’t need an attorney to start care, and PIP pays regardless of fault. If you do hire one, we work with most personal injury attorneys and send them your records.
Common questions
Should I see a chiropractor or go to the ER after a crash?
Call 911 for an ambulance if anyone is seriously hurt. Otherwise most people can come straight to us. We check every crash patient for signs of a more serious injury at the first visit. If we find one, we send you straight to the ER or the right specialist.
The ER said I was fine. Should I still be checked?
“Nothing is broken” is the ER’s job; whether a ligament or disc was injured is a separate question, and it takes X-rays taken while the spine bends, and often an MRI, to answer it.
I was hurt weeks ago. Is it too late?
No. Many patients come in weeks or months after a crash.
Sources
- Utah Code 31A-22-307 (personal injury protection coverage, at least $3,000 for medical care).
- American Medical Association, Guides to the Evaluation of Permanent Impairment (criteria for measuring vertebral slipping and tipping on X-rays taken bending forward and back).
Related
Hurt in a crash? Call us. Same-day visits are often available.
McClean Chiropractic Spine Care Specialists · 385 N 500 W, Provo, UT 84601 · Directions